Organization Active NPI

Denise Joseph-Brown, MD, Inc

  • Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1629084264
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G66679 Issued in CA
Legal business name
DENISE JOSEPH-BROWN, MD, INC
Practice address
5122 Katella Ave
Ste 220
Los Alamitos, CA 90720-2826
Phone
(562) 430-2103
Fax
(562) 430-2183
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Denise P Joseph-Brown, MDNPI 1548457807
Title
Ceo/President
Phone
(562) 430-2103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G66679 CA Primary

Addresses

Primary practice location

5122 Katella Ave
Ste 220
Los Alamitos, CA 90720-2826

Mailing address

5122 Katella Ave
Ste 220
Los Alamitos, CA 90720-2826
Phone (562) 430-2103

Other names 1

  • Denise Joseph-Brown, MD, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000814 CA Part B Supplier - Clinic/Group Practice 7315926995 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

18800 Delaware St
Ste 500
Huntington Beach, CA 92648
Phone (714) 375-3600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629084264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE",
            "address_2": "STE 220",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202826",
            "telephone_number": "562-430-2103",
            "fax_number": "562-430-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE",
            "address_2": "STE 220",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202826",
            "telephone_number": "562-430-2103",
            "fax_number": "562-430-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE JOSEPH-BROWN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPH-BROWN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-430-2103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G66679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise Joseph-Brown, MD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Denise Joseph-Brown, MD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.